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Normal eGFR by Age

How filtration declines gradually over the decades.

Typical average eGFR by decade and the roughly 1 mL/min per year decline after age 40.

Medically reviewed by Dr. Rishi Kumar Kafle, MBBS, MD, FASN. Last reviewed October 2026.

Automated chemistry analyzer processing blood samples in a hospital laboratory
Laboratories report eGFR from serum creatinine with the CKD-EPI equation. Illustrative image.

eGFR declines by roughly 1 mL/min/1.73m² per year after about age 40. A gradually lower value in an older adult is often a normal part of ageing rather than a sign of disease.

Typical eGFR by Decade

Average eGFR by age, National Kidney Foundation (mL/min/1.73m²)
Age bandTypical eGFR
In your 20s116
In your 30s107
In your 40s99
In your 50s93
In your 60s85
In your 70s75
In your 80s75

These are population averages; individual values vary with health, build, and other factors. A result a little above or below the figure for your decade is common and, on its own, rarely a concern: the table gives context rather than a target to match exactly.

Why eGFR Falls With Age

eGFR falls with age because the number of working glomeruli and the overall blood flow to the kidneys both decrease, so filtration slowly drops. Because of this, the CKD threshold of 60 is read in context: a value just below 90 in an older adult may be normal ageing, while a steadily falling trend deserves attention. Explore a single decade, such as eGFR in your 70s.

The CKD-EPI 2021 equation already builds this expected decline into its maths through a small age adjustment, so the result you get from the eGFR calculator does not penalise you for being older. It reports the filtration your blood test supports. The direction of travel from one year to the next matters more than any single number.

Normal Ageing vs Kidney Disease

The main question is whether a lower eGFR reflects ordinary ageing or something that needs follow-up. Three signals help tell them apart:

  • The trend. A value that has been stable for years is reassuring; one that is falling faster than about 1 mL/min/1.73m² per year is worth a closer look.
  • Albuminuria. Protein leaking into the urine (measured by an albumin-to-creatinine ratio) points toward kidney damage rather than age alone.
  • Other findings. Blood pressure, diabetes, and changes on imaging all shape how a borderline value is interpreted.

An older adult with an eGFR in the 60s, a stable trend, and no albuminuria is usually showing normal ageing. The same number that is dropping year on year, or that comes with protein in the urine, is read differently. This is why the 60 cut-off is never applied in isolation in an older person. For values that have clearly fallen below range, see what a low eGFR means.

How the Decline Is Tracked Over Time

Because eGFR drifts down slowly, a clinician usually looks at a series of results rather than one. A handful of readings over months to years shows whether kidney function is holding steady or sliding. A loss of a point or two per year is expected with age; a steeper slope, or a sudden drop, prompts further tests. Keeping a record of your past values, and comparing each new result with the normal range for your age, is the most useful thing you can do with this number.

Why There Is No Single “Normal for My Age” Number

The figures in the table are population averages, not targets you should hit. Two healthy people of the same age can have eGFR values that differ by a fair margin because of build, muscle mass, sex, and everyday factors like recent diet or hydration. The averages are useful for putting your result in context: they show that a value in the 70s or 80s is unremarkable for an older adult. Your own normal, though, is best judged against your previous readings rather than a single age-based figure. A clinician interprets the number the same way, alongside your previous readings rather than in isolation.

How Much eGFR Falls Each Decade

On the NKF table, average eGFR falls by about 6 to 10 points a decade, in a gradual and fairly steady decline. From around age 40, it drops by roughly one point a year. On the NKF table, the average slides from 116 in the 20s and 107 in the 30s down to 75 from the 70s on. The pace varies from person to person, because blood pressure, diabetes, and overall health all influence how quickly filtration falls. The broad pattern is still consistent enough that an age-adjusted view is built into how results are read. A value that tracks this expected slope is usually ordinary ageing; one that falls faster is what draws attention.

eGFR by Age in Children and Young Adults

The CKD-EPI 2021 equation on this site is built for adults. In children, filtration is estimated with a different, paediatric method, and the "normal" values differ because kidney function is still maturing. eGFR is highest in early adulthood, at an average of about 116 in the 20s, and the decline of roughly a point a year is most often described from around age 40. So the age effect described here applies to the adult years, and the steeper changes seen at the extremes of life are handled separately.

Why Age Alone Does Not Define Kidney Disease

Age alone does not define kidney disease, because the same eGFR does not mean the same thing at every age: filtration that is normal for an 80-year-old would be unexpected in a 25-year-old. For this reason, guidelines stage chronic kidney disease by the eGFR value together with evidence of kidney damage, rather than by age. An older adult is not labelled with kidney disease simply for having an age-appropriate decline. The label depends on whether there is albuminuria, a falling trend, or another marker of damage on top of the lower number.

Check Your Own eGFR

Compare your result with the eGFR normal range, learn what a low eGFR means, or calculate yours with the eGFR calculator. If your value is lower than the average for your decade, look at the trend across past results and check whether a urine albumin test is in range before drawing any conclusion. A stable value with no albuminuria is usually normal ageing, and any concern is best discussed with your clinician.

Frequently Asked Questions

Does eGFR decrease with age?

Yes. After about age 40, eGFR declines by roughly 1 mL/min/1.73m² per year on average. A gradually lower value in an older adult can be a normal part of ageing rather than a sign of disease.

What is a normal eGFR for a 70-year-old?

For someone in their 70s, the National Kidney Foundation gives an average eGFR of 75 mL/min/1.73m² (one figure for everyone 70 and over). As with any age, values are interpreted alongside other signs of kidney damage rather than from the number alone.

References

  1. National Kidney Foundation. How to Classify CKD (GFR and albuminuria categories).
  2. Kidney Disease: Improving Global Outcomes (KDIGO). KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of CKD.
  3. MedlinePlus (NIH). Glomerular Filtration Rate (GFR) Test.
  4. National Kidney Foundation. Estimated Glomerular Filtration Rate (eGFR).

Medical review by Dr. Rishi Kumar Kafle

MBBS, MD, FASN, Consultant Nephrologist

Nepal Mediciti, Kathmandu

Last reviewed October 2026. The reviewer checks equation use, normal ranges, CKD cutoffs and renal dosing thresholds against current guidance before a page is presented as authoritative.